Fla. Admin. Code Ann. R. 65G-4.009 - Design, Implementation and Monitoring of Behavior Analysis Services
(1) Providers of
behavior analysis services shall provide services only as certified and as
provided by law.
(2) All aspects of
behavior analysis services shall be integrated with other relevant services and
supports being provided to the client by the provider within the scope of
authorized behavioral services.
(3)
The selection of behavior analysis procedures and decisions by the provider to
make environmental changes that obviate the need for the use of behavior change
procedures shall be based upon information obtained through direct and indirect
functional assessment or functional analysis designed to identify patterns of
behavior and the functional relationships between the behavior or behaviors
targeted for change and the environment. The assessment shall contain at
minimum:
(a) Operational definitions of all
behaviors targeted for change;
(b)
Description of conditions under which the behavior is most likely and least
likely to occur;
(c) Measures of
current level of behavior targeted for change;
(d) Other relevant personal, social, medical,
pharmacological or historical information that may impact on behavior targeted
for change, if any;
(e) Putative
functional relationships between targeted behavior and environment; and,
(f) Recommendations for procedures
to decrease maladaptive behavior and increase relevant appropriate alternative
behavior.
(4) Behavior
analysis services designed by the provider to decrease behavior shall include
procedures for increasing functional replacement behavior, or acquisition of
adaptive skills to serve as a functional alternative to the behaviors targeted
for change.
(5) Behavior analysis
procedures that are the least intrusive to the client and the most likely to be
effective shall be used by the provider.
(6) Medical treatment to address purely
medical etiologies or physical or occupational therapies to address behavior
that are related to physical limitations shall be provided concurrent with, or
prior to, the implementation of behavior analysis services by the
provider.
(7) Behavior analysis
services shall not be provided continuously without appropriate considerations
for maintenance and generalization of behavior change in relevant settings or a
designation of criteria for termination of the interventions or
services.
(8) The provider shall
ensure that persons responsible for implementing, monitoring and providing
behavior analysis services receive performance-based training that prepares
them to properly implement the behavior analysis procedures involved, within
the circumstances under which the services will be provided.
(9) The provider shall take reasonable steps
to ensure data collection for behaviors targeted for increase and decrease
during the entire period services are in effect. Graphic displays of weekly
data for behaviors targeted for change shall be maintained and up-dated by the
provider.
(10) The LRC shall
approve the provider's behavior analysis services plan and specify the
requirements for reporting of findings and data to the committee for behavior
analysis services approved by the committee.
(a) Behavior analysis services plans are to
be written as succinctly as is possible to effectively serve as a guide to
those who will be implementing the plan.
(b) The behavior analysis services plan shall
include, either in text or by reference to appropriate documents:
1. Identifying information for the individual
affected by the plan.
2. The name,
signature and certification or licensure information of the individual who
developed, supervises or approves the implementation of the procedures
described in the plan.
3. Objective
statements of goals relative to behavior reduction and behavior acquisition
resulting in program termination.
4. Rationale for intervention being
warranted, and selection of proposed interventions, consistent with assessment
results.
5. Medical, social and
historical information including previous treatment programs relevant to the
current problems being addressed.
6. How and where behavioral services will be
integrated with daily routines and other relevant services.
7. Identification of behaviors targeted for
reduction.
8. Identification of
behaviors targeted for acquisition or as replacement.
9. Data collection methods for behaviors
targeted for reduction and acquisition.
10. Intervention procedures for behaviors
targeted for reduction and acquisition.
11. Description of performance-based training
for persons implementing procedures.
12. Techniques for maintaining and
generalizing behavioral improvements, as well as criteria for the reduction and
fading of behavioral services.
13.
When employed, rationale for use of ancillary support staff, such as behavior
assistants; a description of training, their routine or duties, performance
monitoring and fading of services.
14. Methods of monitoring for programmatic
fidelity and effectiveness, including but not limited to:
a. Data analysis and
interpretation.
b. Direct
observation in the setting(s) where the plan is implemented, including the
observation of the implementation of procedures or simulated
implementation.
c. Discussions with
supervisors, and observations of individuals who implement the behavior
analysis procedures involved.
d.
Schedule or frequency of monitoring, and who, by function or assignment, will
conduct monitoring.
e.
Determination that the services are in accordance with Florida Statutes and the
Agency rules.
15.
Signatures of informed participants as may be required by law and individuals
authorized to approve the procedures.
(c) Modifications to the behavior analysis
service plan which include procedures listed in Rule
65G-4.010, F.A.C., approved by
the LRC shall be documented and submitted by the provider to the committee
chairperson within one week after the changes are made, for determination of
need for committee review. A summary of the effects of and modifications to
behavior analysis services plan shall be written by the provider at least
annually. This summary will include a graphical display of data collected over
the year with appropriate annotation of program
modifications.
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